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- Title
A METHOD USING VESTIBULO-SULCOPLASTY COMBINING A SPLIT-THICKNESS SKIN GRAFT AND A PALATAL KERATINIZED MUCOSA GRAFT FOR PERI-IMPLANT TISSUE SECONDARY TO ORAL CANCER SURGERY.
- Authors
Shou-Yen Kao; Man-Tin Lui; Fong, Jenny; Che-Wei Wu; Cheng-Hsien Wu; Hsi-Peng Tu; Kai-Peng Hung; Tze-Cheung Yeung
- Abstract
Twelve patients presented with oral submucosal fibrosis and loss of keratinized gingiva in a compromised vestibule of a severely deficient mandibular edentulous ridge secondary to oral cancer surgery. They received implant rehabilitation with a total of 49 fixtures without major bone graft augmentation. To overcome vestibular compromise, soft tissue management consisting of simultaneous vestibulo-sulco-plasty, split-thickness skin graft (STSG), and palatal keratinized mucosa graft (KMG) was performed as a second stage when healing abutment was transferred to replace the cover screw of the dental implant. Postoperative follow-up of all patients consisted of clinical and radiographic examinations for an average of 4 years, revealing good stability of implant fixtures with a 91.8% success rate and generally healthy peri-implant tissue, the latter with an average sulcus depth of 2.9 ± 0.6 mm. Satisfactory results were also demonstrated regarding improved morphology of the vestibule, cosmetics, and prosthetic functionality. Vestibulo-sulcoplasty combining STSG and palatal KMG offers a stable and convenient method for rebuilding peri-implant tissue without need for bone grafting in selected patients who have compromised atrophic ridges secondary to cancer surgery.
- Subjects
VESTIBULOPLASTY; SKIN grafting; PALATALIZATION; KERATINIZATION; ORAL cancer; ONCOLOGIC surgery
- Publication
Journal of Oral Implantology, 2005, Vol 31, Issue 4, p186
- ISSN
0160-6972
- Publication type
Article
- DOI
10.1563/1548-1336(2005)31[186:AMUVCA]2.0.CO;2